Jacome, Tomas Humberto

Jacome, Tomas Humberto is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 102 , Baton Rouge LA 70808-4363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jacome, Tomas Humberto can be contacted via phone (225) 765-2048.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste 102 Baton Rouge LA 70808-4363
Fax: (225) 765-1958
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 025420 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 025420 Louisiana

Profile Details

NPI number 1477554079
LBN Legal business name Jacome, Tomas Humberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477554079 NPPES
Mississippi MEDICAID 09102317
Mississippi MEDICAID 1575674
Mississippi Other 363070

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